GAP India: 2023-2024 – E-Learning India

Welcome

Welcome to the GAP E-learning India application.

In order for you to complete the e-learning application and to receive your certificate, please work your way through the following elements:

Theory module – 5 chapters containing information on the evidence and background to GAP
Clinical Practice module – 5 chapters containing information on the implementation of GAP within clinical practice

Please ensure you use the ‘Mark as Complete’ button for each Lesson and Module below, after completion.

Course Content

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Module 1 - GAP Theory

Chapter 1 - Definitions 11 Topics

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1.1 Contents

1.2 LBW, SGA, and FGR (1/3)

1.3 LBW, SGA, and FGR (2/3)

1.4 LBW, SGA, and FGR (3/3)

1.5 Fetal Growth Restriction (FGR) or Intrauterine Growth Restriction (IUGR)

1.6 The customised GROW chart ⁶

1.7 GROW

1.8 Causes of Fetal growth Restriction ³

1.9 Symmetrical and Asymmetrical FGR⁷

1.10 Early and late onset FGR (1/2)

1.11 Early and late onset FGR (2/2)

Chapter 2 - Fetal growth restriction and pregnancy outcome 5 Topics

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2.1 Contents

2.2 FGR, perinatal morbidity and mortality

2.3 Stillbirth and FGR (1/3)

2.4 Stillbirth and FGR ctd (2/3)

2.5 Stillbirth and FGR ctd ¹⁶ (3/3)

Chapter 3 - Risk Assessment 14 Topics

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3.1 Contents

3.2 Risk assessment and surveillance for fetal growth restriction (FGR)

3.3 Risk assessment in early pregnancy

3.4 GAP Care Pathway Phase I

3.5 GAP Care Pathway Phase II

3.6 Risk Assessment (1/3)

3.7 Risk Assessment (2/3)

3.8 Risk Assessment (3/3)

3.9 Fetal Growth Surveillance: Low risk

3.10 Fetal Growth Surveillance: assessing growth rate

3.11 Fetal Growth Surveillance (1/3)

3.12 Fetal Growth Surveillance (2/3)

3.13 Fetal Growth Surveillance (3/3)

3.14 Summary recommendations

Chapter 4 - Screening and Surveillance 6 Topics

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4.1 Contents

4.2 Predictive tests

4.3 Surveillance in low risk pregnancies

4.4 Surveillance in increased risk pregnancies

4.5 Growth scans at term

4.6 Routine growth scans

Chapter 5 - Monitoring effect of implementation 9 Topics

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5.1 Contents

5.2 Impact of training

5.3 Monitoring the effect of implementation

5.4 Antenatal detection of SGA

5.5 Effect on stillbirth rates

5.6 Stillbirths in England 2000-2019 (ONS)

5.7 Reduction of proportion of stillbirths that are SGA ³⁵

5.8 Level of GAP implementation and effect on stillbirth rates

5.9 Key points - Module 1

Module 2 - GAP Practice

Chapter 1 - Generating and using customised growth charts 13 Topics

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1.1 Abbreviations

1.2 Contents

1.3 How to generate a customised GROW chart

1.4 Generating a customised growth chart

1.5 Features of the chart

1.6 Generating a customised growth chart

1.7 Generating a customised growth chart

1.8 Features of the chart (1/2)

1.9 Features of the chart (2/2)

1.10 The Antenatal Chart

1.11 Plotting fundal height

1.12 Plotting estimated fetal weight (EFW)

1.13 Summary Points

Chapter 2 - Fetal growth surveillance in low-risk pregnancies 11 Topics

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2.1 Contents

2.2 Fundal height measurements: Introduction

2.3 Fundal height measurements: misconceptions

2.4 Standardising fundal height measurements (1/5)

2.5 Standardising fundal height measurements (2/5)

2.6 Standardising fundal height measurements (3/5)

2.7 Standardising fundal height measurements (4/5)

2.8 Standardising fundal height measurements (5/5)

2.9 Additional Points

2.10 Serial standardised fundal height measurements

2.11 Fundal height measurement: contraindications ²¹:

Chapter 3 - Indications for Referral 8 Topics

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3.1 Contents

3.2 Normal growth

3.3 First SFH below the 10th centile

3.4 Slow Growth (SFH)

3.5 First SFH plot above 90th centile

3.6 Serial plots above 90th centile

3.7 Accelerated or excessive growth

3.8 Summary Points

Chapter 4 - Fetal growth surveillance in increased risk pregnancies 8 Topics

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4.1 Contents

4.2 Serial ultrasound biometry

4.3 GAP Care Pathway – Phase I: moderate and increased risk

4.4 Slow growth - EFW (1/2)

4.5 Slow growth - EFW (2/2)

4.6 Doppler

4.7 Risk assessment (1/2) (see also Module 1, Chapter 3)

4.8 Risk assessment (2/2)

Chapter 5 - Audit 32 Topics

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5.1 Contents

5.2 Audit: Monitoring SGA/FGR and detection rates

5.3 Definitions for reporting

5.4 Data Collection Method

5.5 GROW-App (1/2)

5.6 GROW-App (2/2)

5.7 Retrieving the record

5.8 Confirm that retrieved chart is correct

5.9 Input the unit that was responsible for antenatal care

5.10 Birth details

5.11 Early pregnancy risk assessment

5.12 Birth weight centile (1/2)

5.13 Birth weight centile (2/2)

5.14 GROW-App Reports (1/16)

5.15 GROW-App Reports (2/16)

5.16 GROW-App Reports (3/16)

5.17 GROW-App Reports (4/16)

5.18 GROW-App Reports (5/16)

5.19 GROW-App Reports (6/16)

5.20 GROW-App Reports (7/16)

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